Amy North, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036-144576 Issued in IL

Practice address

927 Broadway St Ste 120
Quincy, IL 62301-2728

Phone

(217) 214-6200

NPI assigned

Jun 19, 2014

Last updated

Nov 27, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Dr. Amy Shoemyer Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carroll County Memorial HospitalGroup PAC ID 2860485638, 64 clinicians

Jefferson Medical GroupGroup PAC ID 6800894379, shared by 4 NPIs, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Lukes Home Care Home health agency, Kansas City, MO, CCN 267195
• Carroll County Memorial Hospital Hospital, Carrollton, MO, CCN 261332
• NKC Health Hospital, North Kansas City, MO, CCN 260096

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Carroll County Memorial Hospital

  • Critical Access Hospital
  • Carrollton, MO
  • NPI 1528067113
  Medicare reassignment Care Compare group NPD
• Blessing Corporate Services, Inc

  dba Kahoka Medical Clinic

  • Rural Health Clinic/Center
  • Kahoka, MO
  • NPI 1245427608

  Family Medicine

  Medicare reassignment NPD
• Jefferson Medical Group

  • Family Medicine Physician
  • Carrollton, MO
  • NPI 1215030713
  Medicare reassignment NPD
• Blessing Corporate Services Inc

  dba Palmyra Clinic

  • Rural Health Clinic/Center
  • Palmyra, MO
  • NPI 1548368004

  Family Medicine

  NPD
• Jefferson Medical Group

  • Rural Health Clinic/Center
  • Brunswick, MO
  • NPI 1104432806

  Family Medicine

  NPD
• Jefferson Medical Group

  • Rural Health Clinic/Center
  • Hale, MO
  • NPI 1760772743
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Carroll County Memorial Hospital

  • Critical Access Hospital
  • Carrollton, MO
  • NPI 1528067113
  Care Compare affiliation
• North Kansas City Hospital

  dba Skilled Nursing Unit

  • Skilled Nursing Facility
  • North Kansas City, MO
  • NPI 1437103215

  Hospital

  Care Compare affiliation
• North Kansas City Hospital

  dba NKC Health

  • General Acute Care Hospital
  • North Kansas City, MO
  • NPI 1629062799
  Care Compare affiliation
• Saint Luke's Health System Home Care and Hospice

  dba SLHS Home Care and Hospice

  • Home Health Agency
  • Kansas City, MO
  • NPI 1114984275
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1699189332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 BROADWAY ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623012834",
            "telephone_number": "217-223-8400",
            "fax_number": "217-228-3251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 BROADWAY ST STE 120",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623012728",
            "telephone_number": "217-214-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORTH",
        "first_name": "AMY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-19",
        "last_updated": "2023-11-27",
        "certification_date": "2020-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-144576",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2017018224",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "SHOEMYER",
            "prefix": "DR.",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Richard K Noble, MD
• Chad Allen Noggle, MD
• Norris Clinic PC
• John Henry Norris Jr., CHIROPRACTOR DC
• Northland Hearing Centers, Inc (Hearing Healthcare Associates)
• Northland Hearing Centers, Inc. (Northland Hearing Centers, Inc. dba Hearing Health Care Associates)
• Nothold Spine and Sports PLLC (Performance Sport & Spine)
• Erik Nothold, D.C.
• Diane Nutter, NP

• Family Medicine Physician in Quincy, IL
• Providers in Quincy, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.